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CINICO is a government-owned insurance company formed to
provide health insurance coverage to
civil servants (employees and
pensioners) and other residents of
the Cayman Islands who historically
have had difficulty obtaining
coverage through their employer or
the private insurance market. As a
private corporation it has its own
Board of Directors. Our goal is to
deliver the best insurance product
available to the following members
of the population: Low Income- Those
who can provide evidence of an
annual family income of CI$30,000 or
less. Elderly- Those aged 60 or
over. Health Impaired- Those who
have been rejected by two approved
health insurance providers within
the past 60 days. If you qualify in
one or more of these categories AND
are resident in the Cayman Islands,
you will be eligible for coverage
with CINICO. We will accomplish our
goal by focusing on administrative
excellence and claim control to
provide cost-effective coverage and
focused patient-care. As a result,
CINICO can offer the following
automatic and cost-effective
full-coverage for the elderly and
health impaired regardless of any
pre-existing conditions. Automatic
and cost-effective coverage for
those on a low income but subject to
24 month pre-existing condition
exclusions. 24/7 assistance in case
of medical emergencies. Professional
Customer Service dedicated to
providing assistance on a broad
range of issues. Comprehensive
medical coverage utilizing an
extensive provider network which
includes over 400,000 providers in
the United States including
specializations of every nature and
pre-negotiated discounts. 24/7 Nurse
on Call for responses to general
health enquiries. An I.D. card
providing immediate recognition in
the United States, with no deposit
required for network services. A
claim turnaround time within 14 days
for 90% of claims.
The Cayman Islands Government
expects that the program will be
well managed through a centralized
insurance framework, something that
does not exist today. As such,
CINICO has contracted with a
third-party administrator (“TPA”)
named CBCA Administrators Inc. (“CBCA”)
to provide member services and claim
payment administration in order to
improve services to participants and
health care providers. CBCA is an
independently owned, full service
TPA with a proven track-record of
measurable results. CBCA combines
proven strategies, integrated
service applications, and automated
processes to create a single source
for effective benefit plan
management. CBCA can be summarized
as follows: Operating a U.S.
licensed TPA – the only TPA with ISO
9002 certification – with a staff of
1,000 located through the U.S.
Receiving more than 3 million
customer service calls and
processing more than 8 million
medical, dental, Flexible Spending
Account (FSA) and Dependent Spending
Account (DSA) claims annually.
Paying more than US$1 Billion in
claims each year on behalf of 800
different employer groups and 1
million employees and dependents.
Operating a fully integrated
Telephony and Web Self Service Suite
that delivers live, automated voice
response, or web-based service to
employers, employees and dependents,
and providers.
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